Provider First Line Business Practice Location Address:
228 SAINT CHARLES WAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YORK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17402-4644
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-747-9911
Provider Business Practice Location Address Fax Number:
717-741-3598
Provider Enumeration Date:
10/03/2006